NCSL Legislative Summit 2025

Join NCQA at the 2025 NCSL Legislative Summit in Boston, MA from August 4-6, where we’ll be engaging with state legislators on key health care issues. We’re looking forward to meaningful conversations about improving care quality, strengthening accountability and advancing policies that drive better outcomes for all Americans.

The Gold Standard in Health Plan Evaluation

NCQA Health Plan Accreditation (HPA) builds on 35 years of expertise to offer a rigorous, evidence-based framework for evaluating and improving health plan quality. It’s the only program that bases results on clinical performance and member experience (HEDIS® and CAHPS®), making it the industry gold standard.

HPA helps states streamline oversight while advancing access, accountability and value in both public and private health care. The program also includes robust utilization management standards designed to promote timely, clinically appropriate care for patients.

Learn More: Health Plan Accreditation

Learn More: Utilization Management Accreditation

Driving Quality and Accountability in Behavioral Health

At NCQA, we believe behavioral health is a fundamental part of whole-person care. Addressing mental health and substance use is essential to building a comprehensive, high-quality health care system that fully integrates behavioral and physical health.

As a national leader in health care quality, NCQA supports advancements in behavioral health services through a variety of ways —from developing performance measures to Accrediting providers, practices, health plans and health systems to drive excellence in behavioral care.

Learn More: Managed Behavioral Healthcare Organization (MBHO) Accreditation

Learn More: Certified Community Behavioral Health Center (CCBHC) Accreditation

Building Confidence and Trust in Virtual Primary Care

As care delivery evolves into more hybrid and virtual modalities, maintaining high standards of quality and patient safety remains essential. NCQA Virtual Care Accreditation builds off our Patient-Centered Medical Home recognition to meet the unique challenges of virtual and hybrid primary and urgent care, aligning with state and federal telehealth standards. The program offers a roadmap for delivering quality care virtually and is designed to help organizations demonstrate their trustworthiness as care delivery providers to patients, partners and regulators.

Learn More: Virtual Care Accreditation

Enhancing Care Coordination in LTSS

NCQA’s Long-Term Services and Supports (LTSS) programs help organizations deliver efficient, effective care that meets state requirements and keeps individuals in their preferred settings. Our standards are current with CMS regulations, and support organizations delivering person-centered care and enhancing care coordination.

Learn More: Long-Term Services and Supports Programs